Provider Demographics
NPI:1811916570
Name:SOHN, HAN G (MD)
Entity type:Individual
Prefix:DR
First Name:HAN
Middle Name:G
Last Name:SOHN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2329 WILLOW VALE DR
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1504
Mailing Address - Country:US
Mailing Address - Phone:410-889-0795
Mailing Address - Fax:
Practice Address - Street 1:733 W 40TH ST
Practice Address - Street 2:SUITE 20
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2107
Practice Address - Country:US
Practice Address - Phone:410-889-0795
Practice Address - Fax:877-766-0795
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0057335207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402587300Medicaid
MD522047995OtherUNITED HEALTHCARE
MDH47169Medicare UPIN
MD7947281OtherCIGNA
MD0007818246OtherAETNA
MD290922OtherMDIPA/OPTIMUM CHIOCE
MD563200500Medicaid